Typhoid/ Paratyphoid

Question 1

How do you treat paratyphoid?

Answer 1

Ceftriaxone or acithromycin

Question 2

How do you prevent contraction of Typhoid?

Answer 2

Good food and water hygeine

Vaccination

Question 3

What percentage of patients with typhoid who go untreated die and because of what 2 complications?

Answer 3

10%
Intestinal haemorhage
Bowel perforation

Question 4

Is typhoid acute, subacute or chronic?

Answer 4

7-14 days so subacute

Question 5

List symptoms of typhoid.

Answer 5

Constipation, abdo pain, cramps, dry cough, headaches

Question 6

What about the heart rate is unusual in typhoid?

Answer 6

It isn’t raised as much as you would expect for a patient that poorly

Question 7

What regions carry a risk of contracting Typhoid?

Answer 7

Indian sub continent
Africa
South Asia

Question 8

What type of tradition occurs for typhoid?

Answer 8

Faecal oral

Question 9

List the virulence factors for typhoid.

Answer 9

VI antigen
Invasin
Fimbriae
Gram negative exotoxin

Question 10

Describe the gram stain of Typhoid.

Answer 10

Gram negative Bacili

Question 11

What do you culture if you suspect typhoid?

Answer 11

Blood and stool

Question 12

What would examination of a patient with typhoid show?

Answer 12

High temp and HR

Abdo tender

Question 13

Outline blood results for a typhoid patient.

Answer 13

Low Hb and WCC

Raised ALP, AST and CRP

Question 14

What would a CXR of a typhoid patient show?

Answer 14

Would be clear

Question 15

What strain does enteric fever describe?

Answer 15

Salmonella Typhi